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Tuberculosis transmission in health care settings represents a major public health problem. In 2010, national airborne infection control (AIC) guidelines were adopted in India. These guidelines included specific policies for TB prevention and control in health care settings. However, the feasibility and effectiveness of these guidelines have not been assessed in routine practice. This study aimed to conduct baseline assessments of AIC policies and practices within a convenience sample of 35 health care settings across 3 states in India and to assess the level of implementation at each facility after one year.

Method

A multi-agency, multidisciplinary panel of experts performed site visits using a standardized risk assessment tool to document current practices and review resource capacity. At the conclusion of each assessment, facility-specific recommendations were provided to improve AIC performance to align with national guidelines.

Result

Upon initial assessment, AIC systems were found to be poorly developed and implemented. Administrative controls were not commonly practiced and many departments needed renovation to achieve minimum environmental standards. One year after the baseline assessments, there were substantial improvements in both policy and practice.

Conclusion

A package of capacity building and systems development that followed national guidelines substantially improved implementation of AIC policies and practice.

Healthcare Infection Control Practices Advisory Committee (U.S.); American Society for Healthcare Engineering; Centers for Disease Control and Prevention (U.S.); National Center for Infectious Diseases (U.S.), Division of Healthcare Quality Promotion.;

Published:

2003

Description:

The recommendations in this guideline for Ebola Virus Disease has been superseded by <a href=25703 target="_blank">CDC’s Infection Prevention and Control Recommendations for Hospitalized Patients with Known or Suspected Ebola Virus ...

World Health Organization; Centers for Disease Control and Prevention (U.S.); United States, Dept. of Health and Human Services; President's Emergency Plan for AIDS Relief (U.S.); International Union against Tuberculosis and Lung Disease;

Published:

2005?

Description:

produced by a cooperative effort of U.S. Department of Health and Human Services, U.S. Centers for Disease Control and Prevention, U.S. President's Emergency Plan for AIDS Relief, the World Health Organization, and the International Union Against Tub...

"This publication includes the keynote addresses and plenary papers presented at a workshop on engineering controls for prevention of airborne infections among health care workers. The purpose of the workshop was to review the nature and extent of ai...